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Anterior Segment Organ Culture Platform for Tracking Open Globe Injuries and Therapeutic Performance
Published on: August 25, 2021
Wood-Related Open-Globe Injuries
Tyler Pfister1, Carisa Bohnak2, Shriji Patel2,3
1Vanderbilt University School of Medicine, Nashville, TN, USA.
Open-globe injuries from wooden objects can cause severe vision loss, but many patients achieve good visual recovery. The Ocular Trauma Score accurately predicts outcomes for these serious eye injuries.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Ocular Trauma
Background:
- Open-globe injuries (OGIs) are severe ocular emergencies.
- Wooden objects are a less common but significant cause of OGIs.
- Understanding outcomes is crucial for managing these injuries.
Purpose of the Study:
- To evaluate clinical characteristics of patients with wood-induced OGIs.
- To assess visual outcomes and complications following treatment for wood OGIs.
- To determine the utility of the Ocular Trauma Score (OTS) in predicting prognosis.
Main Methods:
- Retrospective review of 32 patients with OGIs caused by wooden objects (2005-2017).
- Analysis of presenting visual acuity, injury characteristics, and secondary complications.
- Calculation and assessment of the Ocular Trauma Score (OTS) for correlation with visual outcomes.
Main Results:
- 47% of injuries were from plant material; 94% of patients were male.
- 48% presented with hand motion or worse vision; high rates of hyphema (59%) and vitreous hemorrhage (31%) were observed.
- 59.4% achieved final visual acuity of 20/100 or better, correlating with OTS (P < .001).
Conclusions:
- Wood OGIs are severe but have a high potential for visual recovery.
- The Ocular Trauma Score is a relevant tool for assessing injury severity and prognosis in this patient cohort.
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